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Biomedical subjects

M Menken

Publications and source records attributed to M Menken.

At least 55 records · Page 3Linked to original sources
PubMed1991

Medical education for primary care.

A move away from undue specialization in undergraduate medical courses is desirable in the interest of strengthening primary care. Ways of achieving this are discussed with particular reference to proposals made by the World Federation of Neurology Research Group on Neurological Education.

Education, Medical↗
PubMed1989

A record of patient encounters in neurological practice in the United Kingdom.

Thirteen consultant neurologists working in ten different towns or cities in the United Kingdom were asked to log all their encounters with patients in 1 week. The median number of encounters was 79 (range 33-144). Forty-one per cent were new patients; 85% of all new patient encounters were with National Health Service patients. In more than four-fifths of all encounters, the neurologist felt that the consultation was a justified use of his experience. Consultations for headache/migraine and epilepsy together accounted for over a quarter of all encounters.

Cross-Sectional Studies↗
PubMed1988

Norms of care in British and American neurologic practice.

At a Consensus Development Conference on the Scope of Neurological Practice in the United Kingdom, 26 British specialists in the field of neurology constructed norms of care for patients with 11 neurologic disorders. For each disorder, these specialists specified the percentage of all patients who should see a physician, as well as the percentage who should see a consultant neurologist, the appropriate duration of the initial patient encounter, and the appropriate frequency of follow-up visits per annum. When compared with American estimates used in health manpower planning, British neurologists generally make a far greater allowance for patient self-care, as well as care by nonphysician health care providers, allow less time for patient encounters, and see a need for follow-up care less frequently. These marked differences in the perceptions of specialists of a normative character may determine, in part, the different "practice styles" of physicians in different regions that cannot be explained in economic terms. Results suggest that the practice style concept should be broadened to include the use of health personnel of many types, the scope of specialty medicine, and the role definition of primary care.

Central Nervous System Diseases↗
PubMed1986

Neurologic education for primary care. Relevance of secondary diagnosis.

Most of the clinical instruction in the medical specialties, for medical students as well as residents in the primary care specialties, occurs in the hospital environment. To improve the relevance of the teaching experience in this milieu, a study is presented in which the faculty conducts the teaching exercises on the primary care service. Emphasis is given to those disorders that constitute the secondary diagnosis, rather than the disorder that is responsible for hospitalization in most cases. It is suggested that this approach is appropriate for primary care, due to the case mix encountered and the exposure of trainees to the specialist faculty within a primary care environment.

Hospitals↗